| NPI | 1962914655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 19424) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 19424) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2018-06-16 |